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ENPC 6TH EDITION COURSE EXAM 2024/ACTUAL EXAM WITH CORRECT DETAILED ANSWERS WITH RATIONALES/A+ GRADE $12.99   Add to cart

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ENPC 6TH EDITION COURSE EXAM 2024/ACTUAL EXAM WITH CORRECT DETAILED ANSWERS WITH RATIONALES/A+ GRADE

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ENPC 6TH EDITION COURSE EXAM 2024/ACTUAL EXAM WITH CORRECT DETAILED ANSWERS WITH RATIONALES/A+ GRADE A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP of 70/44 mm Hg, and...

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  • February 4, 2024
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ENPC 6TH EDITION COURSE EXAM 2024/ACTUAL
EXAM WITH CORRECT DETAILED ANSWERS WITH
RATIONALES/A+ GRADE


A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry mucous

membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP of 70/44 mm Hg, and

HR of 144 beats per minute. Which of the following laboratory values would be most expected in

this child? - ANSWER HYPOGLYCEMIA (WRONG)

Remediation feedback:


Children can present with new onset diabetes in diabetic ketoacidosis. Manifestations include

signs of dehydration ( dry mucous membranes, hypotension, tachycardia), incontinence

(polyuria), vomiting, abdominal pain, Kussmaul respirations (to counter the acidosis), polydipsia,

anorexia, and weight loss. Expected laboratory values would reveal an acidotic state with a pH

level below 7.3, an elevated serum bIcarbonate level, and an elevated blood glucose level > 200

mg.dL.

An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing noted on

auscultation in the right upper lobe of the lung field after a choking event 4 days ago. The white

blood cell count is elevated and the patient noted to be tachypneic, tachycardic, agitated, and has

an increased respiratory effort. At the time of the event, the patient was started on antibiotics

with subsequent increasing manifestations instead of improvement. This of the following would

be considered to be def - ANSWER bronchoscopy




Remediation feedback:


Manifestations of a lower airway foreign body include a choking incident with subsequent

, failure to improve on antibiotics. Wheezing or decreased lung sounds in one area of the

pulmonary system is a high indicator for a foreign body along with signs of hypoxia such as

cyanosis, tachypnea, tachycardia, increased respiratory effort, agitation or lethargy, and elevated

white blood cell counts indicating an infectious process. The definitive treatment would be a

bronchoscopy in order to retrieve the suspected foreign body instead of diagnostic tests to locate

the foreign body itself.

A child in cardiopulmonary arrest is receiving chest compressions and manual ventilations with

a bag-mask device. Once return of spontaneous circulation has been confirmed, which of the

following would be the priority intervention? - answer Establishing a secure airway



Parents report their 3-year-old child has developed noisy breathing. On assessment, high-

pitched wheezes are audible and auscultated on inspiration and expiration. What medication

would be appropriate to administer first? - ANSWER Humidified oxygen (wrong)



Remediation feedback:


Wheezing is most often identified with asthma in the pediatric population. Initial medication

intervention includes an inhaled short-acting beta agonist.



A 6-week-old is brought to the emergency department by the caregivers for poor feeding,

listlessness, and fever. Assessment reveals a crying infant, HR 160 beats/minute, RR 52

breaths/minute, rectal temperature of 96.0 F (35.5 C), and a bulging anterior fontanel. Capillary

refill is 4 seconds. Based on these findings what is the most likely diagnostic test the nurse

should anticipate? - ANSWER Lumbar puncture

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